174104 06/24/2009 CITY OF CARMEL, INDIANA VENDOR: 037500 Page 1 of 1
ONE CIVIC SQUARE WHITE'S ACE HARDWARE
CARMEL, INDIANA 46032 731 S. RANGELINE ROAD CHECK AMOUNT: $338.75
CARMEL IN 46032 CHECK NUMBER: 174104
CHECK DATE: 6/24/2009
D EPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4238900 244 338.75 OTHER MAINT SUPPLIES
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TYPE;OF TRANSACTION DOCUMENT NUMBER TRANSACTION DATE ACCT NUMBER PAGE
kOLISE 3S728654 20 06/17/09 10:01:03 000244 1
BILL 'TO: SHIP TO-.
BROOKS' GOLF CLUB•- •*-st• 0ROOKSHI RE GOLF CLIJE1*
5
12120 BROOKSH I RE ICI WY. :12120 B ROOKSH I RE PKWY.
CARMEL IN 46033 CARMEL IN 46033
Po
1; E N MILLER TRAC I
QUANTITY ITEM NUMBER DESCRIPTION PRICElUNIT AMOUNT
jSE
r_r, •rte I.nl r n 1 r
TAXABLE
TAX
6, g,
NON- TAXABLE
SUB -TOTAL
X
RECEIVED THE ABOVE IN GOOD CONDITION
TOTAL F
W 1 IC _r E Z 3 P) Cfi E It -in II=ZED W rA R O
7Z3 IL F:p FR. Fl 014 F E: -d. B'*..p fly. F ICS
9
TYPE OF TRANSACTION DOCUMENT NUMBER TRANSACTION DATE ACCT NUMBER PAGE
HOUSE CREDIT MEMO 3572'8672 20 OG/1"7'/09 10a18e4E,. 0002 +4 1
ISSUED TO o r �CRED IJ Tip t"
BROOKSH RE GOL -F '.CLUP* u,, ,,BRQ01 -.5H I RE' f 001-F CLUB***
12120 D RO KSH I FE PKWY. 4 I 1 -220 1 PRIOOKSH I RE PRWY. E.
6 L.
J b
CARMEnL IN 46033 l .IN 4603
I: SSUED TO: y CASHIER:' 4 00 4: SALESMAN e
YEN MILLER `TRACI f i
QUANTITY ITEM NUMBER i DESCRIPTION f•` PRICE /UNIT AMOUNT
t
1 !:ter' 15�r"+E RECPT. COhIML Si,IGL 20A.Tv r9 —6.99
1 .x035417 REE EPT Df.JPL_E:X 20A IVY 950 2.95.
s f,,
H OUSE F. 04 �,C lam! TAXABLE I�t1Zl
1 J
TAX, 0
NON- TAXABLE —4. 04.
SUB -TOTAL —4. 04
X i w.
Elr7llff ABOVE IN GOOD CONDITION4
t: TOT L —4.
c
i
-7 1 E3 RC:4 9%4f3 g NJ IF- Rn
C C R a L I N eio CA .2&
4
TYPE OF TRANSACTION DOCUMENT NUMBER TRANSACTION DATE ACCT NUMBER PAGE
HOUSE 357,24905 22 OG/ 11 /09 12 56.- 2 1 00101244 1
BILL TO: SHIP TO'.
BROOKSHIRE GOLF CLUB BROOKSHIRE GOLF CLUB
12120 BROOKSHIRE PKWY. 12120 BROOKSHIRE PKWY.
CARMEL IN 460133 CARMEL IN 460133
PURCHASER.' CASHIER: PO TERMS: SALESMAN:
KEN MILLER MARY
QUANTITY ITEM NUMBER .DESCRIPTION t PRICE/UNIT AMOUNT
I
1' 101123501 OOPS SPRAY REMOVER 21OZ T 7.990 7.99
1 101529 ACE RZR SCRPR W /5 BLADES T 3.2801 3.28
1 101529 ACE RZR SCRPR W/5 BLADES T 3.280 3.26
L�
HOUSE 1 4. 55 TAXABLE 00
TAX O0
NON- TAXABLE 14.55
SUB -TOTAL 14.
X
RECEIVED THE ABOVE IN GOOD CONDITION
TOTAL 1 4.5
"l Tel E3 "9:4RnWAREE
7-:31 E; R#:'ANC-3E:L_ IONA[EE Rn
f_ 6 R M El I I N -4 Ifl= RD Z3 ;R
a
TYPE OF TRANSACTION DOCUMENT NUMBER TRANSACTION DATE ACCT NUMBER P AGE
t(OUSE 35700777 28 05/11/09 10:56:42 000244 1
BILL TOt SHIP TO:
BROOKSHIRE GOLF CLUB*** BROOKSHIRE GOLF CLUB***
12120 BROOKSHIRE PKWY. 12120 BROOKSHIRE PKWY.
CARMEL IN 46033 CARMEL IN 46033
URCHASERg CASHIER: PO TERMS- SALESMAN:
EN MILLER PORTIA
QUANTITY ITEM NUMBER DESCRIPTION PRICE/UNIT AMOUNT
12 *56 FASTNERS, BOLTS, SCREWS, T .480 5.76
2 43132 PVC ELL 45DEG 1-1/2" SXS T .980 1.96
6 43108 PVC COUPLING 1-1/2" SXS T .630 3.78
1 42672 PVC WYE 1-112" HXHXH T 1.970 1.97
1 44 ,08 FLEX CPLG 1-1/2XI-1/2 T 3.870 3.87
4032017 PIPE HANGER "J" 1-1/2"PK4 T 3.680 7.36
HOUSE x.:4.70 TAXABLE .00
TAX .00
NON-TAXABLE 24. 70
SUB -TOTAL 24.70
RECEIVED THE ABOVE IN GOOD CONDITION
TOTAL t 70
Wl 1: `T" IE: S n C� r-- V) F;Z ID W f.=o FZ E:
1 �B FR C4 PA C3 U_ I I ME-: R 1)
TYPE
eeI O I FTRANSACTION DOCUMENTNUMBER TRANSACTION DATE ACCT NUMBER PAGE
t 0L_. !8_� L�vi ILl Y.'
_)t 1 �J -f 1 5 e L'LI a ^J IzI vi 1 0 4
BILL TO: SHIP TO
BROOK SHIRE: GOLF- CLUB- u.* BROOKSHI RE GOLF CLUB
12120 BROOKSH I RE PKWY. 12120 BROOK SHIRE PKWY.
CARMI:::L IN .46033 CARMEL. IN 46033
PURCHASER: CASHIER. PO TERMS: SALESMAN
BOB HIGGINS MIMI
QUANTITY ITEM NUMBER DESCRIPTION PRICE /UNIT AMOUNT
t
1 8042 DUTY P AINT GUN T 45.990 90 45. 99
flUUSE .5 ST 0 ILT
TAXABLE
TAX
J.
NON TAXABLE
4 5.
SUB -TOTAL
5°
A CEIVED THE ABOVE IN GOOD CONDITION
TOTAL
7-:31L E3 RIPIM(
Cl Ft Twl E-: 9 P4 .4- lu—, Z322
t3
TYPE OF TRANSACTION DOCUMENT NUMBER TRANSACTION DATE ACCT NUMBER PAGE
HOUSET 5) El 5 f7l Git it tizi 057'121�,7'1719 i5:0t-.mt2 12100244
BILL TO: 6 TO:
BROOKSHIRE GOLF CLUB BROOKSHIRE GOLF CLUB-***
1212'0 BROOKSHIRE P'KWY. 12120 BROOKSHIRE PKWY.
CARMEL IN 46033 CARMEL IN 46033
PURCHASER- CA24AIER- rj_ a it TERMS SOLIESMAKI
KEN MILLER MIMI
QUANTITY ITEM15j {vtf qftll
SjqWRIr PRICfi�d
i TRIGGER TAOt/211 ZN �JNI AMO 491
I
1 72 MEIN —DUTY 4183 HOSE ME—DUTY 5/8X23 T lizi.980 to S
1� *56, FASTNERS, BOLTS, SCREWS, T 1.000 3.00
3 *5E WIRE, CHAIN, METALSTOCKS T .480 1.44
20 *5E WIRE, CHAIN,, METALSTOCP,S T 32 G.40
HOUSE 2E.34
TAXABLE
00
TAX 2G. 34
NON-TAXABLE 26. 34
TOTA SUB
x 2G. 34
RECEIVED THE ABOVE IN GOOD CONDITION TOTAL
FR ID W C-1 F:Z
C3 r-) R M FEE L_., I q ,CIF cS, 12)1 Z3;-=
TYPE OF TRANSACTION DOCUMENT NUMBER TRANSACTION DATE ACCT NUMBER PAGE
HOUSE 35709949 20 05/2 10:48:42 000244
BILL TO: SHIP TO:
BROOK SHIRE GOLF CLUB -x..x.* BROOKSHIRE GOLF CLUB-***
1 2' 120 BROOKSHIRE PKWY. 12120 BROOKSHIRE PKWY.
CARMEL IN 46033 CARMEL IN 46033
PURCHASER: CASHIER- PO TERMS. SALESMAN:
KEN MILLER TRACI
QUANTITY ITEM NUMBER DESCRIPTION PRICE /UNIT AMOUNT
1 43029 CMPRESSN ADAPT 3/BX3/BFPT T 2.680 2.68
1 41734 CPVC ADAPTER 1/2XI/2MPT T .360 .36
4 41266 CMPRESSN SLEEVE PLSTC 3/8 T .350 1.40
5 41736 CPVC COUPLING 1/2" T 11=20 1.10
1 707626 DELUX RAIN BARREL 60 GAL T 140.000 140.00
HOUSE 224. 22 TAXABLE .00
TAX .00
NON-TAXABLE 224.22
224.22
RECIVIVED THE ABOVE IN GOOD CONDITION TOTAL 224.22
7 -2�1 1 !E3 F_R C:4 0 CET EE L_ 1 114 E.- FRI n
C2 54 Ff Al E= RL .51 T. t%j -q- Eel ID
-el+ E 2R 2; 1 1
TYPE OF TRANSACTION DOCUMENT NUMBER TRANSACTION DATE ACCT NUMBER PAGE�
HOUS 35709949 20 05/22/09 10:48:42 000244 1
BILL TO: SHIP TO:
BROOKSHIRE GOLF CLUB*** BROOKSHIRE GOLF CLUB***
12120 BROOKSHIRE PKWY. 12120 BROOKSHIRE PKWY.
CARMEL IN 46033 CARMEL. IN 46033
PURCHASER: CASHIER2 PO TERMS: SALESMAN;
KEN MILLER TRACI
QUANTITY ITEM NUMBER DESCRIPTION PRICE /UNIT AMOUNT
49 *41C PIPE, TUBING T .120 5.88
1 7195431 HOSE NO-KINK 5/8X60 ST 19.990 1 99
2 41732 1/2"XIO' CPVC PIPE SCH40 T 3.260 6.52
10 PIPE
1 7134984 HOSE END MALE 5/8-3/4 MTL T 4.280 4.28
1 7134976 HOSE END FEM 5/8-3/4 MTL T 4.280 4.28
7 72676 ACE WASP/HORNET 1402 T 2.770 19.39
1 73353 HOSE UK DISC SEAL T 3.990 3.99
1 28554 PROTECTOR FLAME 3 OZ T 11.990 11.99
1 41734 CPVC ADAPTER 1/2XI/2MPT T .360 .36
41738 CPVC ELL 90DEG 1/2'' T .180 .90
41736 CPVC COUPLING 1/2'' :3po
TAXABLE xxxxxxxx
CONTINUED ON NEXT PAGE TAX xxxxxxxx
NON-TAXABLE xxxxxxxx
SUB-TOTAL xxxxxxxx
CONTINUED NEXT PAGE xxxxxxxx
RECEIVED THE ABOVE IN GOOD CONDITION
TOTAL xxxxxxxx
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
CITY OF CARMEL
An invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
�ifJJa /7 �S �f 1/�CtJ�✓2E Purchase Order No.
Terms
�ga Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
d w p4 --a z
ZL
S J oQ 3s 6a f 4
20c,
Total I,
I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accordance
with IC 5- 11- 10 -1.6.
20
Clerk- Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN SUM OF
3
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
12-02 a 5'd bill(s) is (are) true and correct and that the
d 3 0 9 9 2 -UZ) as materials or services itemized thereon for
f 3� y &�,;Z -3 9 -c)n which charge is made were ordered and
9,?9 4 -0 qS 99 received except
a.G 3 cep
20
S ft allire
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund